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Sammanfattning

The aim of this interpretative research synthesis was to develop a theoretical understanding of how a narrative approach in a caring conversation enables the patient to understand and find meaning in suffering, and how this in turn may be a path to health. The material consisted of 23 articles published between 1990 and 1997 in caring and nursing journals. The synthesis is summed up in a model for narrative understanding in a caring conservation consisting of three phases in which the patient is encouraged:(i) to tell stories describing why the suffering has come about, how things are at present, and what is wanted and needed; (ii)to make up a narrative of suffering that follows the actual course of events; and (iii) to reconnect to their life history, that is to reflect on the point or lesson to be learned in order to achieve a new wholeness. The model may be linked with and used in the clinical setting, and it also raises questions for further research in the area of communication in health care. Published by arrangement with John Wiley & Sons.

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